Carcinoma Squamous makaanka: saadaasha, daaweynta

Sida laga soo xigtay tirakoob, neoplasia afka ilmo-galeenka (CIN), ie kansarka, waa hoggaamiye ee qaab dhismeedka of kansarka. Inta badan, xumaanshaha ee unugyada caadiga ah ee burada lagu arkay makaanka afkiisa. Tan waxa u sabab epithelium. Maxaa yeelay, carcinoma squamous makaanka loola jeedaa noocyo caadiga ah ee cudurka kansarka, sameeyo ay ogaanshaha hore. Iyada oo agaa of barnaamijyada baaritaanka gaarka ah waxaa laga heli karaa oo keliya ma aha on heerarka bilowga ah ee burada, laakiin sidoo kale atypia gobolka ka hor. Ogaanshaha iyo daawaynta hore ee kansarka ilmo galeenka ka dhigi suurto gal ah si loo badbaadiyo badan oo haweenka. Sidaa darteed Saadaasha cudurada waayo, maanta waa yar musiibo.

carcinoma Squamous makaanka - waa maxay?

Kansarka ilmo galeenka waxaa loo arkaa inay mawduuc kulul oo keliya ma aha, waayo, dhakhaatiirta, laakiin sidoo kale for naag kasta. Tan iyo ka hortagga firfircoon oo ka mid ah cudurka iyo ogaanshaha bilaabay, ogaadeen baaxadda weyn ee cudurkan. The kansarka ee ugu badan waa afka ilmo-galeenka squamous. Noocan ah buro la og yahay in xubno ka atypical muuqan ka epithelium qaan multilayered in khadadka ectocervix ah. In si kale loo dhigo, noocan ah ee cudurka kansarka waxa uu ku yaalaa meesha afka ilmagaleenka galo siilka.

In dunida maanta cudurkan la xiriira mid ka mid ah heley ugu badan oncological. dhacdooyinka Ektotserviksa kansarka waa 15 100,000 dadweynaha. Inkastoo korodhka sannadlaha ee dhimashada cudurkan, saadaasha cudurka u egtahay in la hagaajiyo. Haddii hore kansarka ku dhaca makaanka afkiisa waa squamous cudurka kaliya ee marxaladaha ugu dambeeya ee daaweynta waxaa hadda laga bilaabo kale tan iyo waxyaalaha sababa xasiloooni mar helay.

Like cudur kansarka dumarka oo dhan, neoplasia afka ilmo-galeenka waqti dheer ma laha daliilka kiliinikada. Sidaa darteed waa muhiim in uu bixiyo in isbedel yar dhaca jidhka, iyo sidoo kale booqashooyinka periodic in dumarka dareenka.

Sababaha kansarka ilmo galeenka

muuqaalka kore ee neoplasia squamous la xidhiidha arrimo etiological kala duwan. Gaar ahaan waxay khuseysaa xadgudubyada habka hormoonada jidhka ah. Waxaa la rumeysan yahay in uu jiro xidhiidh toos ah u dhexeeya cudurada kansarka dumarka iyo gobolka hormoon ee jirka dhaddig. Inta la ogaado kansarka ku dhaca makaanka afkiisa waa in la kordhiyo heerarka estrogen. hormoonnada Kuwan waxaa soo saaray ugxan. Kordhi ama yaraado heerka gacanta hypothalamus ah. Marka la eego xiriirka cudurka qaba cudurada hormoonada jidhka, kuwa soo socda waa sababaha loo yaqaan of poppies kansarka ilmo galeenka,

1. Isticmaalka muddada dheer ee uurka. uurka intooda badan ka kooban yahay estrogens. Sidaa darteed, in isticmaalka COCs loo baahan yahay waqti ka waqti si aad u aragto dhakhtar si loo ogaado heerka hoormoonka.
2. Daaweynta la "tamoxin" iyo analogues ay. medicament The isticmaalo in lagu daaweeyo kansarka naasaha. Si kastaba ha ahaatee, daroogada waa in la isticmaalaa si taxadir leh xad-dhaaf ah, tan iyo markii ay sidoo kale waa hormoon.
3. thyroid (hypothyroidism), cayilka iyo cudurrada. gobolada waxa kale oo gacan ka heerarka estrogen iyo horumarinta kansarka ilmo galeenka.

Intaa waxaa dheer, waxaa jira arrimo kale oo qayb ka. iyaga ka mid ah: cudurada raaga xubnaha taranka, ilmo iska soo ridid, tiro badan oo uurka iyo dhalmada, iyo dhameystiran maqan. Makaanka carcinoma cell squamous guud ahaan waxay dhacdaa dhanka ah asalka ah heley sida polyps, nabaad guurka, leukopenia iyo Kobac erythroplakia. Sanadihii la soo dhaafay, cudurka la xiriira noocyada HPV 16 iyo 18. Cilmi baarayaashu waxay si gabagabo yimid, maxaa yeelay, pathogene this waxaa laga helaa ku dhowaad dhammaan bukaanka ka cabanaya neoplasia afka ilmo-galeenka.

Noocyo of carcinoma cell squamous

Marka la eego nooca unugyada epithelial in mari atypia, aqoonso dhawr nooc oo neoplasia afka ilmo-galeenka,

1. Adenocarcinoma. Noocani waa nooc qaar kale yar yihiin.
2. Keratinizing carcinoma squamous makaanka. Lagu gartaa formation of dhagaxyada ah keratin dushiisa epithelial. feature Baarista cudurkan waxaa loo tixgeliyaa "luul kansarka." Smears kala duwan muuqaalka, size unugyada marro.
3. buro-fasalka Low. Waa wax aan macquul si loo ogaado taas oo xubno gacanta soo maray atypia. muuqashadii Tani waa sidaas allifey.
4. Neorogovevayuschy kansarka ilmo galeenka squamous. Lagu gartaa la'aan ah keratin. smear Maydadka muuqda gadood weyn oo ay ku jirto cytoplasm eosinophilic.

Degree of neoplasia afka ilmo-galeenka

Marka la ogaado of neoplasia (CIN) waa lagama maarmaan si ay u qabtaan baadhitaan si loo ogaado inta uu la egyahay ay faafin. Ka fikiraya horumarinta unugyada atypical, waa 4 cudurka stage. Qeybtu waxay galay darajo kuu ogolaanayaa inaad doorato daaweynta ku haboon iyo go'aan ka saadaasha. Stage 0 waxaa loola jeedaa kansarka non-invasive, in uu yahay, ee unugyo aan caadi ahayn waxaa laga heli karaa dusha sare ee epithelium, laakiin ma uusan dhex gelin galay gudaha unugyada afka ilmo-galeenka. degree First - buro qoto dheer prorosla dhowr mm. By this waxaa loogu tala galay in la horumariyo cell squamous kansarka ilmo galeenka invasive, ka baxsan xadka ee jirka. In ka neoplasia wareega labaad u kordhiyay si ay u dhimaya ama qaybta sare ee siilka. Heerka saddexaad waxaa lagu gartaa muuqaalka kore ee unugyada kansarka ee derbiyada miskaha. Sidoo kale guul darro qaawan qaybta hoose ee siilka, ee qanjidhada gobolka. In talaabo 4 baxa si kaadi-buro ama xiidmaha. Waxaa jira metastases fog.

Sawirka caafimaad ee kansarka ilmo galeenka

Lagu tuhmay CIN adag, maadaama uu yahay ku dhowaad ma muuqaalada sifo. Markii hore, kansarka uusan ka muuqan ama uu leeyahay calaamado sida caadada joogto ahayn, xanuun dheecaanku caloosha iyo dhabarka hoose, cad ka soo siilka. Muuqaalka caan xiriir arkaa in dhiig la dhaca inta lagu jiro galmada. calaamad Later loo arkaa barar darafkeeda hoose, qandho-fasalka hooseeyo. Marka marxaladdan ugu dambeeyey ee miisaanka wayn khasaare, daciifnimo, rabitaanka cuntada oo luma iyo qanjidhada oo barara qanjidhada qanjidhka.

Garashada cell squamous kansarka ilmo galeenka

Aqoonsiga carcinoma cell squamous waxaa lagu fuliyaa sida ay dhacdo in cabashooyinka, iyo sidoo kale baaritaanka. Waa falanqaynta gaar ah, kaas oo la qaaday suuf ah (-imtixaanka PAP) siilka iyo afka ilmo galeenka. Iyadoo habkan waxaa suurtagal ah si loo ogaado ma kansarka oo keliya, laakiin sidoo kale Kobac la'aanta - isbedel yar oo ka kooban gacanta. Marka colposcopy equivocal waxaa la sameeyaa iyadoo la isticmaalayo acid acetic iyo iodine (si loo ogaado aagagga laga shakiyo ee epithelium). Haddii kansarka lagu tuhunsan yahay, waxaa loo baahan yahay biopsy a makaanka. Daraasad kale waa ay u falanqeeyaan go'aan ka soo baxay HPV.

Kansarka Daaweynta

daaweynta kansarka ilmo galeenka squamous ka mid ah ka saarida qalliinka ee therapy buro, chemotherapy iyo shucaaca. mugga qalliinka waxay ku xiran tahay marxaladda, iyo sidoo kale da'da bukaanka. Marka neoplasia non-invasive, ama 1 degree qaataan hysterectomy, taasoo ka dhigeysa ugxan. hawlgalka Sidaas waxa muujiyay bukaanka awood rimidda. Haddii bukaan-socodka waa in dayska, ka dibna ka dhigay hysterectomy a, ka saarida appendages iyo omentum weyn. hawlgal noocan oo kale ah mugga ah ayaa loo baahan yahay, sababtoo ah xaqiiqda ah in ay jirto halis ah metastasis ama buro ku xoogeystay. Sidoo kale arko in therapy la wakiilada hormoon. Tallaabadii u dambaysay waxaa lagu fuliyaa oo kaliya daaweynta calaamadaha.

kansarka ilmo galeenka Squamous: saadaal

Inkastoo heerka dhimashada sare, soo kabashada waa suurto gal. Tani waxay khusaysaa dadka qaba neoplasia, cudurka ku jira marxaladaha hore. Qiyaasta tirada badbaadada shan sanno ah ka dib markii celcelis ahaan daaweynta ku saabsan 55%. isbedel Index ay sabab u tahay marxaladda buro (1 degree waa 78%, iyadoo 4 - 7.8%).

tallaabooyin ka hortag ah si looga fogaado in kansarka

qiyaas ugu muhiimsan ee ka hortagga ah waa in ay soo booqdaan dumarka ugu yaraan 1 mar sannadkii. Waxaa kaloo muhiim ah in waqti in lagu daweeyo cudurada xubnaha taranka, in aadan isticmaalin ka hortagga uurka ee afka laga qaato muddo ka badan 5 sano, xilliyo gaar loo ogaado heerka hoormoonka. In joogitaanka sababa xasiloooni (nabaad guur ku dhaca dhuunta ilmogalenka, buro, leukoplakia) u baahan tahay si uu tijaabada colposcopy. In mustaqbalka, dhakhtarka ayaa go'aamin doona on daawaynta cudurada soo jeeda. Sanadihii la soo dhaafay, waxaa la horumariyo ka hortagga gaarka ah ee kansarka afka ilmo - tallaalka loogu talagalay noocyada HPV 16 iyo 18. Waxaa la qabtay ay qaan. Tallaalka ka hor, waa in aad Takhtarkaaga la tasho.